A Case of P0CY1 Gastric Cancer without Recurrence for 13 Years Postoperatively
Okamoto, S.; Cho, H.
Gan to Kagaku Ryoho. Cancer and ChemoTherapy 45(13): 1982-1984
2018
ISSN/ISBN: 0385-0684 PMID: 30692418 Document Number: 695812
We report a case of P0CY1 gastric cancer that is successfullytreated with gastrectomyand S-1/Lentinan combined chemotherapyand has not recurred for long time postoperatively. Case: A 70-year-old woman. The patient was diagnosed with advanced gastric cancer at the upper stomach. We performed total gastrectomywith D2 lymph node dissection. The patho- logical stage was pT4aN2M1P0CY1H0, pStage Ⅳ. Postoperative chemotherapywith S-1/CDDP(CDDP 80mg/bodyweight, S-1 80mg/bodyweight)was administered. Considering that the patient did not well-tolerate the treatment, particularlydue to myelosuppression, we shifted to S-1 monotherapy. Myelosuppression was prolonged even after stopping the chemothera- py; hence, we administered S-1/Lentinan(S-1 80mg/bodyweight , Lentinan 2mg/time)combined chemotherapy. At present, no signs of recurrence were observed for 13 years postoperatively.